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Abbreviations LC: L-carnitine TC: Total carnitine TMAO: Trimethylamine-N-oxide CHO: Carbohydrates IGF-1: Insulin-like growth factor-1 PI3K: Phosphoinositide-3-kinase Akt: Protein kinase B mTOR: Mammalian target of rapamycin S6K: S6 kinase 4E-BP: 4E-binding protein FoxO: Forkhead box O MuRF-1: Muscle-specific RING finger-1 atrogin-1: Muscle atrophy F-box mRNA: Messenger RNA BMI: Body mass index ROS: Reactive oxygen species References Bremer J

Relevance to tissue-repair research more broadly IGF-1 signaling intersects with the wider field of musculoskeletal repair research, where a range of peptides are studied for their proposed effects on connective tissue, tendon, and muscle

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NAFLD is associated with increased TCA flux in the liver (Rauckhorst et al., 2017